| NPI | 1235576398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA BAKER Owner 877-294-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 18D2064893) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-09-16 |